Individual provider Active NPI

Julia Anne Hermansen, BCBA, LBA

  • Behavior Analyst
  • Concord, NC
National Provider Identifier
1730545245
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1150 Issued in NC
Practice address
30 Warren C Coleman Blvd N
Concord, NC 28027-8318
Phone
(980) 785-1113
Fax
(980) 785-1114
NPI assigned
Jan 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1150 NC Primary

Addresses

Primary practice location

30 Warren C Coleman Blvd N
Concord, NC 28027-8318

Mailing address

4235 S Stream Blvd Ste 300
Charlotte, NC 28217-0143
Phone (980) 785-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1730545245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 S STREAM BLVD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282170143",
            "telephone_number": "980-785-1113",
            "fax_number": "980-785-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARREN C COLEMAN BLVD N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278318",
            "telephone_number": "980-785-1113",
            "fax_number": "980-785-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANSEN",
        "first_name": "JULIA",
        "middle_name": "ANNE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.